| NPI | 1063103505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAVELIS MORALES Authorized Official 305-705-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 208000000X Pediatrics |
| 225X00000X Occupational Therapist | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-11-08 |